GOLD COAST OSTEOPATHIC PSC NPI 1568816254

NPI Information

  • NPI: 1568816254
  • Provider Name: GOLD COAST OSTEOPATHIC, PSC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 680 N LAKE SHORE DR
    SUITE 1040
    CHICAGO, IL
    ZIP 60611
  • Phone: (773) 554-6055

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NPI Details

GOLD COAST OSTEOPATHIC, PSC is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOLD COAST OSTEOPATHIC, PSC NPI is 1568816254. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

680 N LAKE SHORE DR
SUITE 1040
CHICAGO, IL
ZIP 60611-546
Phone: (773) 554-6055

The provider's authorized official is Aida Beckerly .
The authorized official title is President and has the following contact phone number (773) 553-6055.

The enumeration date for this NPI number is 4/19/2016 and was last updated on 4/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204D00000XNeuromusculoskeletal Medicine & OMM243290MASSACHUSETTSNo
2204D00000XNeuromusculoskeletal Medicine & OMM02004367BINDIANANo
3204D00000XNeuromusculoskeletal Medicine & OMM261752NEW YORKNo
4204D00000XNeuromusculoskeletal Medicine & OMMILLINOISNo
5207Q00000XFamily Medicine243290MASSACHUSETTSNo
6207Q00000XFamily Medicine02004367AINDIANANo
7207Q00000XFamily Medicine261752NEW YORKNo
8207Q00000XFamily MedicineILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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